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A client diagnosed with end-stage pancreatic cancer is taking large doses of hydromorphone for pain control. Which acid-base imbalance is the client most at risk of developing?

A 32-year-old female client diagnosed with an acute cholecystitis episode has been hospitalized for several days for gastrointestinal rest and IV antibiotics. The client was not a surgical candidate. The nurse prepares the client for discharge and provides health teaching to help the client avoid future episodes of acute cholecystitis.  Choose the most likely options for the information missing from the statements below by selecting from the list of options provided.  The nurse teaches the client to eat small, frequent meals, avoid high- ____1____ foods, and avoid ____1____. In addition, the nurse teaches the client to contact the health care provider with symptoms of biliary disease including ____2____, ____2____, and ____2____.  Options for 1 Options for 2 Protein Abdominal pain Fiber Steatorrhea Saturated fat Hypoxia Whole grains Muscle cramps Glucose Ecchymosis Smoking Vomiting Answers for 1: _______ Answers for 2: _______

Respond “True” to complete the practice exam

A client is diagnosed with liver cancer. The client asks the nurse, “Why is my doctor lowering the doses of my medications?” Which statement is the nurse’s best response?

The nurse has administered the furosemide and lactulose safely to the client. Which laboratory test order will the nurse request from the healthcare provider?

A client diagnosed with pancreatitis is prescribed pantoprazole 40 mg in 100 mL of 0.9% sodium chloride IV to infuse over 15 minutes. At what rate will the nurse program the infusion pump? Round your answer to the tenths.

All of the following medications induce gingival enlargement, except:

Rachel is a 68-year-old patient that has been coming to your office for seven years. During the review of her medical history, she tells you that she had a stroke eight months ago that has left her very weak on her right side. She now takes blood thinning medication everyday as well as two medications for hypertension. Her blood pressure reading was 136/88. In the past she has had wonderful oral hygiene care at every visit, but today she presents with moderate to heavy biofilm and generalized slight calculus. Your oral assessment reveals normal salivary flow and no decay, but the patient reports that her teeth are now quite sensitive to cold. How many teeth are in the permanent dentition?

Which toothbrushing method is recommended for children?

Diabetic patients have an increased susceptibility to periodontal infections. Periodontal treatment improves the metabolic control of diabetes.